Morbidity associated with asthma and audit of asthma treatment in out-patient clinics
A study was undertaken to determine the extent of morbidity associated with asthma and to audit the management of asthma in two out-patient clinics of two district hospitals. Patients were recruited for the study during a 3-month period from December 1990 to February 1991. Seventy asthmatic patients...
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Veröffentlicht in: | Singapore medical journal 1992-04, Vol.33 (2), p.174-176 |
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creator | LIM, T. O SUPPIAH, A ISMAIL, F SELVAN, T IRSHAD ALI KHAN, N. K NGAH, B. A |
description | A study was undertaken to determine the extent of morbidity associated with asthma and to audit the management of asthma in two out-patient clinics of two district hospitals. Patients were recruited for the study during a 3-month period from December 1990 to February 1991. Seventy asthmatic patients were studied. Eighty-six percent of the patients had their sleep disturbed by asthma, 77% took daily medication regularly, 63% felt that their activities were restricted by asthma, 60% had at least one acute exacerbation in the preceding six months. Of those who had their peak expiratory flow rate (PEFR) measured, 40% had a PEFR below 50% predicted, and only 11% had normal PEFR (greater than 80% predicted). The morbidity of asthma was thus considerable. On the other hand, the drug treatment of these asthmatics was grossly inadequate. They were prescribed on average 2.1 item of drugs, which for most patients comprised an oral beta agonist and a theophylline. Only 43% of the patients received inhaler therapy, but no patients were given steroids, inhaled or oral. The drug treatment was unrelated to the severity of patients' asthma. Further, objective measurement of severity was under-used in the assessment of asthma, only 8.5% of patients ever had their PEFR recorded. This study has found that asthma is poorly managed in out-patient clinics. We need to improve the training of doctors in the optimal management of asthma. |
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O ; SUPPIAH, A ; ISMAIL, F ; SELVAN, T ; IRSHAD ALI KHAN, N. K ; NGAH, B. A</creator><creatorcontrib>LIM, T. O ; SUPPIAH, A ; ISMAIL, F ; SELVAN, T ; IRSHAD ALI KHAN, N. K ; NGAH, B. A</creatorcontrib><description>A study was undertaken to determine the extent of morbidity associated with asthma and to audit the management of asthma in two out-patient clinics of two district hospitals. Patients were recruited for the study during a 3-month period from December 1990 to February 1991. Seventy asthmatic patients were studied. Eighty-six percent of the patients had their sleep disturbed by asthma, 77% took daily medication regularly, 63% felt that their activities were restricted by asthma, 60% had at least one acute exacerbation in the preceding six months. Of those who had their peak expiratory flow rate (PEFR) measured, 40% had a PEFR below 50% predicted, and only 11% had normal PEFR (greater than 80% predicted). The morbidity of asthma was thus considerable. On the other hand, the drug treatment of these asthmatics was grossly inadequate. They were prescribed on average 2.1 item of drugs, which for most patients comprised an oral beta agonist and a theophylline. Only 43% of the patients received inhaler therapy, but no patients were given steroids, inhaled or oral. The drug treatment was unrelated to the severity of patients' asthma. Further, objective measurement of severity was under-used in the assessment of asthma, only 8.5% of patients ever had their PEFR recorded. This study has found that asthma is poorly managed in out-patient clinics. We need to improve the training of doctors in the optimal management of asthma.</description><identifier>ISSN: 0037-5675</identifier><identifier>PMID: 1621123</identifier><identifier>CODEN: SIMJA3</identifier><language>eng</language><publisher>Singapore: Singapore Medical Association</publisher><subject>Adolescent ; Adult ; Aged ; Ambulatory Care - standards ; Asthma - drug therapy ; Asthma - epidemiology ; Biological and medical sciences ; Child ; Chronic obstructive pulmonary disease, asthma ; Drug Therapy, Combination ; Female ; Humans ; Malaysia ; Male ; Medical Audit ; Medical sciences ; Middle Aged ; Morbidity ; Pneumology ; Theophylline - therapeutic use</subject><ispartof>Singapore medical journal, 1992-04, Vol.33 (2), p.174-176</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5472009$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1621123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LIM, T. O</creatorcontrib><creatorcontrib>SUPPIAH, A</creatorcontrib><creatorcontrib>ISMAIL, F</creatorcontrib><creatorcontrib>SELVAN, T</creatorcontrib><creatorcontrib>IRSHAD ALI KHAN, N. K</creatorcontrib><creatorcontrib>NGAH, B. A</creatorcontrib><title>Morbidity associated with asthma and audit of asthma treatment in out-patient clinics</title><title>Singapore medical journal</title><addtitle>Singapore Med J</addtitle><description>A study was undertaken to determine the extent of morbidity associated with asthma and to audit the management of asthma in two out-patient clinics of two district hospitals. Patients were recruited for the study during a 3-month period from December 1990 to February 1991. Seventy asthmatic patients were studied. Eighty-six percent of the patients had their sleep disturbed by asthma, 77% took daily medication regularly, 63% felt that their activities were restricted by asthma, 60% had at least one acute exacerbation in the preceding six months. Of those who had their peak expiratory flow rate (PEFR) measured, 40% had a PEFR below 50% predicted, and only 11% had normal PEFR (greater than 80% predicted). The morbidity of asthma was thus considerable. On the other hand, the drug treatment of these asthmatics was grossly inadequate. They were prescribed on average 2.1 item of drugs, which for most patients comprised an oral beta agonist and a theophylline. Only 43% of the patients received inhaler therapy, but no patients were given steroids, inhaled or oral. The drug treatment was unrelated to the severity of patients' asthma. Further, objective measurement of severity was under-used in the assessment of asthma, only 8.5% of patients ever had their PEFR recorded. This study has found that asthma is poorly managed in out-patient clinics. We need to improve the training of doctors in the optimal management of asthma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care - standards</subject><subject>Asthma - drug therapy</subject><subject>Asthma - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Humans</subject><subject>Malaysia</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Pneumology</subject><subject>Theophylline - therapeutic use</subject><issn>0037-5675</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAYhHNQ1nX1Jwg5iLfCm2TTtEdZ_IIVL-65vPliI_0ySZH991asnoaZeZjDnJE1gFCFLJW8IJcpfQBwBVW1IitWcsa4WJPD6xB1sCGfKKY0mIDZWfoV8nH2-dghxd5SnGaCDv4vy9Fh7lyfaejpMOVixBx-rGlDH0y6Iuce2-SuF92Qw-PD--652L89vezu98XIJORCW6s9g0qVlvMtgPQVVgKMBcYYaO25rrceBefIlRTaGmWgQl0qIWsJXmzI3e_uGIfPyaXcdCEZ17bYu2FKjRIgBbB6Bm8WcNKds80YQ4fx1Cw_zP3t0mMy2PqIvQnpH5NbxQFq8Q35hWV1</recordid><startdate>199204</startdate><enddate>199204</enddate><creator>LIM, T. O</creator><creator>SUPPIAH, A</creator><creator>ISMAIL, F</creator><creator>SELVAN, T</creator><creator>IRSHAD ALI KHAN, N. K</creator><creator>NGAH, B. A</creator><general>Singapore Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199204</creationdate><title>Morbidity associated with asthma and audit of asthma treatment in out-patient clinics</title><author>LIM, T. O ; SUPPIAH, A ; ISMAIL, F ; SELVAN, T ; IRSHAD ALI KHAN, N. K ; NGAH, B. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-bddbf10876d224005f8a830cd01110bbf2b94fa322a2753bdc7c08ab6735950f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care - standards</topic><topic>Asthma - drug therapy</topic><topic>Asthma - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Humans</topic><topic>Malaysia</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Pneumology</topic><topic>Theophylline - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LIM, T. O</creatorcontrib><creatorcontrib>SUPPIAH, A</creatorcontrib><creatorcontrib>ISMAIL, F</creatorcontrib><creatorcontrib>SELVAN, T</creatorcontrib><creatorcontrib>IRSHAD ALI KHAN, N. K</creatorcontrib><creatorcontrib>NGAH, B. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Singapore medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LIM, T. O</au><au>SUPPIAH, A</au><au>ISMAIL, F</au><au>SELVAN, T</au><au>IRSHAD ALI KHAN, N. K</au><au>NGAH, B. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morbidity associated with asthma and audit of asthma treatment in out-patient clinics</atitle><jtitle>Singapore medical journal</jtitle><addtitle>Singapore Med J</addtitle><date>1992-04</date><risdate>1992</risdate><volume>33</volume><issue>2</issue><spage>174</spage><epage>176</epage><pages>174-176</pages><issn>0037-5675</issn><coden>SIMJA3</coden><abstract>A study was undertaken to determine the extent of morbidity associated with asthma and to audit the management of asthma in two out-patient clinics of two district hospitals. Patients were recruited for the study during a 3-month period from December 1990 to February 1991. Seventy asthmatic patients were studied. Eighty-six percent of the patients had their sleep disturbed by asthma, 77% took daily medication regularly, 63% felt that their activities were restricted by asthma, 60% had at least one acute exacerbation in the preceding six months. Of those who had their peak expiratory flow rate (PEFR) measured, 40% had a PEFR below 50% predicted, and only 11% had normal PEFR (greater than 80% predicted). The morbidity of asthma was thus considerable. On the other hand, the drug treatment of these asthmatics was grossly inadequate. They were prescribed on average 2.1 item of drugs, which for most patients comprised an oral beta agonist and a theophylline. Only 43% of the patients received inhaler therapy, but no patients were given steroids, inhaled or oral. The drug treatment was unrelated to the severity of patients' asthma. Further, objective measurement of severity was under-used in the assessment of asthma, only 8.5% of patients ever had their PEFR recorded. This study has found that asthma is poorly managed in out-patient clinics. We need to improve the training of doctors in the optimal management of asthma.</abstract><cop>Singapore</cop><pub>Singapore Medical Association</pub><pmid>1621123</pmid><tpages>3</tpages></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
subjects | Adolescent Adult Aged Ambulatory Care - standards Asthma - drug therapy Asthma - epidemiology Biological and medical sciences Child Chronic obstructive pulmonary disease, asthma Drug Therapy, Combination Female Humans Malaysia Male Medical Audit Medical sciences Middle Aged Morbidity Pneumology Theophylline - therapeutic use |
title | Morbidity associated with asthma and audit of asthma treatment in out-patient clinics |
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